Systematic Review of Reintervention After Thoracic Endovascular Repair for Chronic Type B Dissection.
Ann Thorac Surg
; 103(6): 1992-2004, 2017 Jun.
Article
em En
| MEDLINE
| ID: mdl-28434549
ABSTRACT
This review analyzed the incidence, mechanisms, and risk factors of aortic-related reintervention after endovascular repair of chronic dissections. The systematic review identified 28 studies describing 1,249 patients at median 27 months follow-up (range, 10.3 to 64.4). There were six reinterventions, 0.7 ruptures, and 1.2 surgical conversions per 100 patient-years of follow-up. Stent-related reinterventions were more frequent than nonstent related (80.2% vs 19.8%). Distal false lumen perfusion was the most common complication (40.5%). No individual risk factor-treatment timing, disease extent, covered aorta length, or remodelling-was associated with reintervention. Further investigation based on consistent reporting standards is required.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Aórtico
/
Reoperação
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Procedimentos Endovasculares
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Dissecção Aórtica
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article